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wounds > Wounds > Flashcards

Wounds Flashcards

1
Q

Scrape of the superficial layers of the skin

A

Abrasion

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2
Q

Localized collection of pus resulting from invasion from a pyogenic bacterium

A

Abscess

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3
Q

closed wound caused by blunt trauma

A

Contusion

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4
Q

wound caused by force leading to compression or disruption of tissues

A

Crushing

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5
Q

Superficial wound, usually self-inflicted due to excessive scratching or mechanical force

A

Excoriation

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6
Q

An open, intentional wound caused by a sharp instrument

A

incision

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7
Q

skin or mucous membranes are torn open, resulting in wound with jagged margins

A

Laceration

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8
Q

Open wound in which the agent causing the wound lodges in the body tissue

A

Penetrating

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9
Q

Open wound caused by sharp object

A

Puncture

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10
Q

A wound with entrance and exit sites

A

Tunnel

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11
Q

Exists when there are no breaks in the skin. contusions (bruises), or tissue swelling

A

Closed wound

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12
Q

Occurs when there is a break in the skin or mucus membranes. abrasions, lacerations, puncture wounds, and surgical incisions.

A

Open wound

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13
Q

Wounds that heal in short period of time. no interruption in healing process.

A

Acute wounds

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14
Q

wounds that exceed the expected length of recovery, usually because the natural healing progression has been interrupted

A

Chronic wounds

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15
Q

Takes place when a wound affects only the epidermis and dermis. no scar is formed

A

Regenerative/epithelial healing

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16
Q

Occurs when a wound involves minimal or no tissue loss and has edges that are well approximated (closed)

A

Primary (first) intention healing

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17
Q

Occurs when a wound (1) involves excessive tissue loss that prevents wound edges from approximating or (2) should not be closed (e.g. due to infection.

A

Secondary intention healing

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18
Q

Phase last from 1 - 5 days and consist of two major processes: hemostasis and inflammation

A

Inflammatory Phase - cleansing

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19
Q

Phase occurs from days 5 - 21. Cells develop to fill the wound defect and resurface the skin

A

Proliferative Phase- Granulation tissue

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20
Q

Final phase of the healing process, known as remodeling, begins in the second or third week and continues even after the wound has closed.

A

Maturation Phase- Epithelialization Phase

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21
Q

Types of wound closures

A

Adhesive strips, Surgical staples, sutures, and surgical glue

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22
Q

Rupture (separation) of one or more layers of a wound

A

Dehiscence

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23
Q

Total separation of the layers of a wound with internal viscera protruding through incision.

A

Evisceration

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24
Q

(Pus) drainage that oozes from a wound or cavity

A

Exudate

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25
Q

Bloody drainage

A

Sanguineous drainage

26
Q

Light pink drainage, most commonly seen in new wounds

A

Serosanguineous drainage

27
Q

Yellow in color, thick, seen in infected wounds

A

Purulent

28
Q

Red-tinged pus

A

Purosanguineous drainage

29
Q

What action should you take if evisceration occurs?

A

Immediately cover the wound with a sterile towel or dressing soaked in sterile saline solution to prevent the organs from drying out.

30
Q

Non- blanchable erythema (redness) of intact skin

A

Stage 1 of pressure injury

31
Q

Partial thickness skin loss with exposed dermis

A

Stage 2 of pressure injury

32
Q

full thickness skin loss

A

Stage 3 of pressure injury

33
Q

Full thickness skin and tissue loss

A

Stage 4 of pressure injury

34
Q

Unstageable

A

Stage 5

35
Q

Compressed small blood vessels, hindering blood flow and nutrient supply

A

Pressure

36
Q

When skin is moist, fragile, or rubbed against another surface (wrinkled sheets)

A

Friction

37
Q

When one layer of tissue slides horizontally over another, compressing adipose tissue and muscle tissue, and reducing normal blood flow

A

Shear

38
Q

Urine, stool, and sweat macerate the skin

A

Moisture

39
Q

Bed sores, pressure sore, and pressure ulcer are examples of.

A

Pressure injuries

40
Q

Outer portion of the skin

A

Epidermis

41
Q

protein containing cells that gives the skin strength and elasticity

A

Keratinocytes

42
Q

Produces melanin, a pigment that gives skin its color and protects from ultraviolet light

A

Melanocytes

43
Q

Phagocytize (engulf) foreign materials and trigger an immune response

A

Langerhans

44
Q

Structures of the skin

A

Epidermis, Dermis, and subcutaneous tissue

45
Q

Disruption in the normal skin integrity

A

wound

46
Q

Lies below the epidermis and above the subcutaneous tissue. nerves, hair follicles, glands, immune cells, and blood vessels

A

Dermis

47
Q

Fat; stores fat for energy. Provides insulation, protection and a reserve of calories in the event of severe malnutrition

A

Subcutaneous tissue

48
Q

surgical wound

A

Intentional

49
Q

traumatic

A

unintentional

50
Q

Types of wound dressings

A

Those that maintain moisture
Those that absorb moisture
Those that add moisture

51
Q

Cover topical medications that is applied to a skin lesion

A

Occlusive Dressing

52
Q

Efficient at removing exudate because of their higher moisture-vapor transmission rate; some have reservoirs that can hold excessive exudate

A

Moisture- Retentive Dressings

53
Q

Contain antiseptics, cadexomer iodine, honey, hydrofera blue, mupirocin, or silver to reduce the risk of infection

A

Antimicrobial dressing

54
Q

Protein based and derived dorm animal sources (bovine, equine, porcine, or avian) that promote wound healing

A

Collagens dressing

55
Q

Combined components from several dressing types into a single dressing that is absorptive and that provide protection from bacteria and fluids.

A

Composites dressing

56
Q

Thin, nonadherent, conforming dressings that are directly applied to wounds for protections

A

Contact layer dressing

57
Q

Polymer membranes, permeable to moisture vapors and oxygen, but impermeable to water, liquids and bacteria

A

Transparent Films Dressings

58
Q

Steps in changing the Dressing

A
  1. Prepare the patient
  2. Use appropriate aseptic techniques
  3. Hand hygiene before and after
  4. Adhere to standard and transmission-based precautions
  5. Remove old dressing
  6. Cleanse the wound
  7. Apply the new dressing
  8. Secure the dressing
59
Q

Test that is used to examine cells from blistering skin conditions, such as herpes zoster, varicella, herpes simplex, and all forms of pemphigus

A

Tzanck Smear

60
Q

Test that involves applying the suspected allergens, such as nickel or fragrances to normal skin under occlusive patches

A

Patch Testing

61
Q

Tissue samples are scraped from suspected fungal lesions with a scalpel blade that has been moistened with oil so that the scraped skin adheres to the blade

A

Skin scrapings

62
Q

Photographs are taken to document the nature and extent of the skin and are used to determine progress or improvement resulting from treatment

A

Clinical Photographs

wounds (1 decks)

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